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Introduction
The inherent tone observed in human airways is maintained
by the local actions of neuronal inputs derived from the
parasympathetic nervous system. This system regulates airway calibre by activation of the post-synaptic muscarinic
sites on airway smooth muscle via the release of the neurotransmitter, acetylcholine (ACh). Enzymatic degradation of
ACh occurs through the action of cholinesterases. Two
different cholinesterases have been described in many tissues
(Mann, 1971; Aas et al., 1986; Chatonnet & Lockridge, 1989;
Small et al., 1990) namely, acetylcholinesterase (AChE: EC
3.1.1.7) and butyrylcholinesterase (BChE: EC 3.1.1.8). Previous investigators (Mittag et al., 1971; Small et al., 1990;
Adler et al., 1991) have shown that BChE represents a
considerable fraction of the cholinesterase pool in smooth
muscle. While the function of AChE at the cholinergic
neuronal synapse in airway muscles is to regulate the duration of action of ACh (Adler & Filbert, 1990), the physiological role of BChE has not been systematically examined in
human airways. In vivo, treatment with cholinesterase inhibitors leads to an increase in resistance to airflow in animals
(Pauluhn et al., 1987) and in man (Haber et al., 1987).
Recently, Adler and co-workers (1991) proposed that BChE
may participate in the co-regulation of the duration of action
of ACh in dog airways in vitro. These investigators demonstrated that the contractions induced by electrical field stimulation were enhanced and prolonged in tissues treated with
the specific BChE inhibitor, tetraisopropylpyrophosphoramide (iso-OMPA; Atack et al., 1989). While Ito and coworkers (1989) have demonstrated that physostigmine, a
non-specific cholinesterase inhibitor, enhanced the response
to electrical field stimulation in human isolated bronchial
muscles, few studies have been performed to examine the
relative contribution of these two enzymes on the functional
response of human airways.
The aim of this study was to determine the sensitivity of
human bronchial preparations to exogenous and endogenous
ACh in the presence of specific cholinesterase inhibitors. A
Author for correspondence.
measurement of the degradation of exogenous ACh or butyrylcholine (BuCh: specific substrate for BChE) were also performed in order to compare the activity of AChE and BChE
in human isolated bronchial preparations. These studies were
undertaken to test the hypothesis that BChE may be a
co-regulator of ACh activity in human airways.
Methods
Isolated preparations
Human lung tissue was obtained from 34 male and 6 female
patients who had undergone surgery for lung carcinoma. The
mean age was 56.20 1.15 years. After the resection of a
lung or a lobe, parts of the bronchus were dissected free from
parenchymal lung tissue and placed in Tyrode solution at
4C for 12 h. All experiments were performed on 161 subsegmental bronchial preparations derived from 40 lung samples
(n); these bronchial ring preparations were of 2-4 mm internal diameter and weighed 63.09 2.84 mg. Values are means
s.e.mean.
Data analysis
Physiological studies (contractions) The changes in force
were measured from isometric recordings and expressed in
grams (g) or as a percentage of the initial contraction
induced by ACh (100JLM). The maximal response (E,,) was
induced with a cholinoceptor agonist, neostigmine or BW284
C51 and the EC50 values were interpolated from the individual concentration-effect curves. The EC50 values were transformed into pD2 values, that is, negative logarithms of EC50
values.
Biochemical studies (enzyme activities) The amounts of
ACh or BuCh remaining in the supernatants after 1 or 3 h as
well as the quantities obtained after treatment of tissues with
enzyme inhibitors were expressed in pmol. The protection of
915
Drugs
The drugs and their sources were: acetylcholine chloride,
butyrylcholine chloride, choline chloride (three times crystallized), methacholine chloride (acetyl-p-methylcholine chloride), carbachol (carbamylcholine chloride), atropine sulphate,
iso-OMPA (tetraisopropylpyrophosphoramide), BW284C51 (1,
5-bis (4-allyldimethylammoniumphenyl) pentane-3-one dibromide), Trizma buffer solution [Tris(hydroxymethyl) aminomethane], choline oxidase from Alcaligenes species, peroxidase
HRP II (Horseradish peroxidase type II) (Sigma Chemical
Co., St. Louis, MO, U.S.A.). Neostigmine methylsulphate
(Prostigmine; Roche, 92521 Neuilly sur Seine, France).
Luminol (5-amino-l ,2,3,4 tetrahydrophtalazindion- 1,4) (Merck,
Schuchardt 8011 Hohenbrunn bei Miinchen, Germany). Acetylcholinesterase from Electrophorus electricus was obtained
from Boehringer Mannheim GmbH (Germany) and purified
by passing through a Sephadex G50 coarse column (Pharmacia, Uppsala, Sweden).
All cholinoceptor agonists and BW284C51 were dissolved in
Tyrode solution and enzymes were dissolved in distilled water.
Iso-OMPA (0.1 M) was dissolved in 100% ethanol. Subsequent
dilutions of each drug and neostigmine were made in Tyrode
solution. A stock solution of luminol (1 mM) was prepared by
dissolving 18 mg in a few drops of 1 M NaOH, and the volume
was adjusted to 100 ml with 0.2 M Tris buffer (final pH of 8.6).
Results
X. NOREL et al.
916
150 r-
250 r
200
CL
0o
I-
150 _-
0-~~
10O-
0
C)
I/
50
50 -
u
en
0
c
0
CL
cn
00
--ll~~~~~~~~~~~~~~~~~~~~~~~~~~~
(0
4)
%-0
-C
0
c
7I
4
3
250r
.)
0
Cc
0o
200 p
I---I----
150 -
100
mrol; n = 4).
In paired preparations which had been pretreated for 30 min
with neostigmine (0.1 tIM), prior to the addition of ACh, or in
tissues treated with iso-OMPA (10 tM), before the BuCh
challenge, a small or no reduction in the quantities of these
substrates was detected. Thus at these concentrations, the
enzyme inhibitors prevented the hydrolysis of the appropriate
substrate (Table 2). In experiments with BuCh, this substrate
was degraded even if tissues were treated with neostigmine
(Figure 4 and Table 2). The protection of ACh or BuCh by
each inhibitor at the concentrations used and neostigmine
10 gLM are shown in Table 2. The ACh remaining at 1 h after
treatment with neostigmine (0.1 LM) or iso-OMPA (100 gM)
were: 0.49 0.05 grmol and 0.50 0.06 grmol, respectively.
However, in tissues treated with both neostigmine (0.1 M) and
iso-OMPA (100 AM), the quantity of ACh detected was 0.59
0.05 pmol (n = 7 paired lung samples). This quantity was significantly greater than those detected when tissues were treated
with the individual inhibitors. The ACh results obtained after
3 h with the inhibitors were: 0.32 0.06 pmol and 0.43 0.06
jtmol for neostigmine (0.1 M) and iso-OMPA (100 PM),
respectively. The ACh remaining after 3 h in tissues treated
with a combination of both inhibitors at these same concentrations was: 0.51 0.05 grmol. These latter data were greater
than results obtained in supernatants in the presence of one
inhibitor. When lower concentrations of these enzyme inhibitors were used under the same experimental conditions, a more
pronounced alteration was observed, that is, both inhibitors in
50
--ll
Acetylcholine [-log Ml
Figure 2 Acetylcholine (ACh) concentration-effect curves produced
in human isolated bronchial preparations after 30 min incubation
with Tyrode solution (@) or cholinesterase inhibitors (0). (a) Neostigmine (0.1 IJM; n = 6) (b) tetraisopropylpyrophosphoramide (isoOMPA, 100 gIM; n = 4). Each response was expressed as a percentage
of the ACh (100tiM) contraction induced prior to the incubation.
Values are means s.e.mean from paired lung samples.
917
Table 1 Effects of cholinesterase inhibitors on acetylcholine, carbachol, methacholine and neostigmine concentration-effect curves in
human isolated bronchial preparations
ACh (100 gM)
response (g)
Treatment
Tyrode
Iso-OMPA (10 gM)
Iso-OMPA (100 SM)
Neostigmine (0.1 ItM)
17
5
6
6
2.30 0.56
Tyrode
Iso-OMPA (100IM)
4
4
1.86 0.50
1.90 0.38
Tyrode
Neostigmine (0.1 gtM)
3
3
0.95 0.40
Tyrode
Iso-OMPA (10 gM)
5
5
1.770.27
Agonist
E,, (g)
pD2value
Acetylcholine
4.70 0.36
2.42 0.36
4.91 0.12
2.30 0.55
5.57 0.26*
3.14 0.69
5.68 0.20*
2.90 0.84
Carbachol
6.34 0.03
2.88 0.74
6.50 0.12
2.65 0.55
Methacholine
6.76 0.03
1.22 0.43
6.60 0.26
1.63 0.49
Neostigmine
1.42 0.27
6.05 0.15
2.41 0.18
6.91 0.14*
1.74 0.29
1.420.28
1.780.48
1.470.53
1.46 0.38
Acetylcholine (ACh, 100 JtM) response was obtained prior to treatment. Tissues were exposed to Tyrode solution or to Tyrode solution
containing cholinesterase inhibitors (30 min). E.,8 indicates the maximal contraction produced by the agonist expressed in grams (g).
Values are means s.e.mean, n indicates the number of lung samples.
*Values significantly different when results from control and treated tissues were compared (P <0.05, ANOVA).
200 k-
Neostigmine
0.1
0.01
150
10
Iso-OMPA (AM)
100
10
Substrate
ACh
2116
Cl)
W
6617 102 13 19 05 96 22
(4)
(7)
(4)
(4)
(7)
3 10 2504 5206 94 09 106 10
(3)
(4)
(4)
(3)
(7)
0.Cl)
BuCh
oa
0
,
(pM)
h.2
0
._
C-)0
5C 7
0.6f-
0.5F
,L
rV-
Neostigmine [-log Ml
Figure 3 Effect of tetraisopropylpyrophosphoramide (iso-OMPA)
on neostigmine concentration-effect curves in human isolated bronchial preparations. Data are derived from curves produced after a
30min incubation with Tyrode solution (m) or Tyrode solution
containing iso-OMPA (10 pM; 0). Each response was expressed as a
percentage of the acetylcholine (ACh, 100tpM) contraction induced
E
0
C
0.4F
0.3-
IC.
0.2
0.1
0.0'
Discussion
The results presented in this paper demonstrate that two functional cholinesterase enzyme pools are present in human
bronchial muscle preparations. Hydrolysis of ACh is achieved
by the action of endogenous AChE and is inhibited by neostigmine or BW284C51 (Atack et al., 1989; this paper). In addition, BuCh degradation occurs via BChE (Mittag et al., 1971),
an activity which is prevented by pretreatment of the tissues
ri0.01
Cont
0.1
Neo (lM)
10
100
ISO (ILM)
918
X. NOREL et al.
0.6F
0
0.5F
E 0.41
._
0.3-
u.
0.2 -
or
0.1
Cont
Neo
Iso Neo +
Cont
Neo
Iso Neo +
ISO
919
References
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ADLER, M. & FILBERT, M.G. (1990). Role of butyrylcholinesterase in
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